Bockhorn, Debra Ellen

Bockhorn, Debra Ellen is an individual health care provider with primary practice located at 6551 Centerville Business Pkwy Ste 110 , Dayton OH 45459-2696. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bockhorn, Debra Ellen can be contacted via phone (937) 291-6850.

Contact Information

Primary practice address
6551 Centerville Business Pkwy Ste 110 Dayton OH 45459-2696
Phone: (937) 291-6850
Fax: (937) 291-6896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35079788 Ohio

Profile Details

NPI number 1285699272
LBN Legal business name Bockhorn, Debra Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Sep 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285699272 NPPES
Ohio Other 000000250491 ANTHEM PROVIDER NUMBER
Ohio Other 311422758010 ANTHEM PROVIDER NUMBER
Ohio Other 7262257 ANTHEM PROVIDER NUMBER
Ohio MEDICAID 2417021 ANTHEM PROVIDER NUMBER

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